Bakhtiari Soheila, Sharif Farkhondeh, Shahriari Mohsen, Rakhshan Mahnaz
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Operating Room Department, School of Nursing and Midwifery, Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Risk Manag Healthc Policy. 2020 Feb 17;13:125-134. doi: 10.2147/RMHP.S236389. eCollection 2020.
The provision of care according to the code of ethics is of the highest priority in operating rooms (OR). However, the exposure of the surgical team to a high level of stress may result in unethical behavior and undermine their pursuit of excellence. Since the concept of excellence is complex and there are limited published studies in the nursing literature, there was a need for in-depth research.
The present study aimed at evaluating the perspective and experience of OR nurses with the concept of excellence.
The conventional qualitative content analysis method was employed to explore the concept of excellence among OR nurses.
The current study was conducted on 20 OR nurses in the elective and emergency operating rooms of hospitals affiliated to Isfahan University of Medical Sciences, Isfahan, Iran. The data were collected through in-depth semi-structured face-to-face interviews and field notes from April 2017 to June 2018.
The four categories extracted from the interview data were "enhanced personality traits", "growth and development", "knowledge enhancement", and "effective teamwork". In addition, a total of 10 sub-categories were extracted.
The findings of the present study indicated that OR nurses can achieve personal, professional, organizational, and social excellence through enhancing personality traits, peer learning, teaching ethics to the surgical team members, and educating and training patients and family caregivers through effective teamwork. A close collaboration between OR nurses and nursing managers would develop a culture of pursuit for excellence.
The findings of the present study provided a better understanding of the perception of OR nurses with the concept of excellence; based on which, optimal ethical care and an environment for the pursuit of excellence can be developed. The findings also provided evidence-based recommendations to nursing managers on how to gain the trust of patients and family caregivers, and promote the pursuit of personal, professional, organizational, and social excellence.
依据道德准则提供护理是手术室工作的重中之重。然而，手术团队面临的高度压力可能导致不道德行为，并阻碍他们追求卓越。由于卓越的概念复杂，且护理文献中已发表的相关研究有限，因此有必要进行深入研究。
本研究旨在评估手术室护士对卓越概念的看法和体验。
采用传统的定性内容分析法，探究手术室护士对卓越的概念。
本研究对伊朗伊斯法罕医科大学附属医院择期和急诊手术室的20名手术室护士进行。数据收集时间为2017年4月至2018年6月，通过深入的半结构化面对面访谈和现场记录完成。
从访谈数据中提取出四个类别，即“强化人格特质”“成长与发展”“知识提升”和“有效的团队合作”。此外，共提取出10个子类别。
本研究结果表明，手术室护士可通过强化人格特质、同伴学习、向手术团队成员传授职业道德，以及通过有效的团队合作对患者及其家庭护理人员进行教育和培训，实现个人、专业、组织和社会层面的卓越。手术室护士与护理管理者之间的密切合作将营造追求卓越的文化氛围。
本研究结果有助于更好地理解手术室护士对卓越概念的认知；据此可制定最佳的道德护理方案和追求卓越的环境。研究结果还为护理管理者提供了基于证据的建议，说明如何赢得患者及其家庭护理人员的信任，以及如何促进个人、专业、组织和社会层面卓越的追求。
